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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NISHANT PODDAR, MD

Active

DR. NISHANT PODDAR, MD is a Medical Oncology healthcare provider located in BALLWIN, Missouri. NPI 1124387675 is currently active in the NPPES registry. Verify at CMS.

Medical Oncology · BALLWIN, MO

Registration Details

NPI Number
1124387675
Provider Type
Individual
Gender
Male
NPI Issued
May 3, 2012 (14.315478103042 yrs)
Last Updated
May 9, 2025
Licenses
2012034335 (MO)
036147565 (IL)
036147565 (IL)

Practice Information

Address
15945 CLAYTON RD STE 120
BALLWIN, MO, 630112490
Browse MO providers · Browse ZIP 63011
Phone
6362565000
Primary Specialty
Medical Oncology
207RX0202X
Additional Specialty
Hematology
Additional Specialty
Medical Oncology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.